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Effect of detrusor function on the therapeutic outcome of a suburethral sling procedure using a polypropylene sling for stress urinary incontinence in women.
Scand J Urol Nephrol. 2007; 41(2):138-43.SJ

Abstract

OBJECTIVE

To assess the effect of detrusor function on the therapeutic outcome of a suburethral sling procedure in women with stress urinary incontinence (SUI).

MATERIAL AND METHODS

A total of 192 women with SUI who had undergone a suburethral sling procedure were enrolled. According to the baseline urodynamic results, patients' bladder functions were classified as follows: (i) normal detrusor function; (ii) detrusor overactivity; and (iii) detrusor underactivity or acontractile detrusor. Surgical results, urodynamic parameters and patient satisfaction were compared among these three groups.

RESULTS

Overall, 106 patients had normal detrusor function, 36 had detrusor overactivity and 50 had detrusor underactivity or an acontractile detrusor. A continent outcome was achieved in 135 women (70.3%), urge incontinence in 23 (12%), minimal SUI in 32 (16.7%) and moderate SUI in two (1%). Persistent urge incontinence was noted in 13 women (36%) with detrusor overactivity, and recurrent SUI occurred in 18 women (36%) with detrusor underactivity or an acontractile detrusor. No significant change in urodynamic parameters between baseline and after treatment was found in any of the patient groups. The satisfaction rate was 98.1% in patients with normal detrusor function, 82% in patients with detrusor underactivity or an acontractile detrusor and 75% in patients with detrusor overactivity (p<0.05).

CONCLUSION

Compared to women with normal detrusor function, those with preoperative detrusor overactivity and those with detrusor underactivity or an acontractile detrusor experienced an unfavorable therapeutic outcome of the suburethral sling procedure in terms of urge incontinence and recurrent SUI after surgery.

Authors+Show Affiliations

Department of Urology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan. hck@tzuchi.com.tw

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17454953

Citation

Kuo, Hann-Chorng. "Effect of Detrusor Function On the Therapeutic Outcome of a Suburethral Sling Procedure Using a Polypropylene Sling for Stress Urinary Incontinence in Women." Scandinavian Journal of Urology and Nephrology, vol. 41, no. 2, 2007, pp. 138-43.
Kuo HC. Effect of detrusor function on the therapeutic outcome of a suburethral sling procedure using a polypropylene sling for stress urinary incontinence in women. Scand J Urol Nephrol. 2007;41(2):138-43.
Kuo, H. C. (2007). Effect of detrusor function on the therapeutic outcome of a suburethral sling procedure using a polypropylene sling for stress urinary incontinence in women. Scandinavian Journal of Urology and Nephrology, 41(2), 138-43.
Kuo HC. Effect of Detrusor Function On the Therapeutic Outcome of a Suburethral Sling Procedure Using a Polypropylene Sling for Stress Urinary Incontinence in Women. Scand J Urol Nephrol. 2007;41(2):138-43. PubMed PMID: 17454953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of detrusor function on the therapeutic outcome of a suburethral sling procedure using a polypropylene sling for stress urinary incontinence in women. A1 - Kuo,Hann-Chorng, PY - 2007/4/25/pubmed PY - 2008/1/4/medline PY - 2007/4/25/entrez SP - 138 EP - 43 JF - Scandinavian journal of urology and nephrology JO - Scand. J. Urol. Nephrol. VL - 41 IS - 2 N2 - OBJECTIVE: To assess the effect of detrusor function on the therapeutic outcome of a suburethral sling procedure in women with stress urinary incontinence (SUI). MATERIAL AND METHODS: A total of 192 women with SUI who had undergone a suburethral sling procedure were enrolled. According to the baseline urodynamic results, patients' bladder functions were classified as follows: (i) normal detrusor function; (ii) detrusor overactivity; and (iii) detrusor underactivity or acontractile detrusor. Surgical results, urodynamic parameters and patient satisfaction were compared among these three groups. RESULTS: Overall, 106 patients had normal detrusor function, 36 had detrusor overactivity and 50 had detrusor underactivity or an acontractile detrusor. A continent outcome was achieved in 135 women (70.3%), urge incontinence in 23 (12%), minimal SUI in 32 (16.7%) and moderate SUI in two (1%). Persistent urge incontinence was noted in 13 women (36%) with detrusor overactivity, and recurrent SUI occurred in 18 women (36%) with detrusor underactivity or an acontractile detrusor. No significant change in urodynamic parameters between baseline and after treatment was found in any of the patient groups. The satisfaction rate was 98.1% in patients with normal detrusor function, 82% in patients with detrusor underactivity or an acontractile detrusor and 75% in patients with detrusor overactivity (p<0.05). CONCLUSION: Compared to women with normal detrusor function, those with preoperative detrusor overactivity and those with detrusor underactivity or an acontractile detrusor experienced an unfavorable therapeutic outcome of the suburethral sling procedure in terms of urge incontinence and recurrent SUI after surgery. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/17454953/Effect_of_detrusor_function_on_the_therapeutic_outcome_of_a_suburethral_sling_procedure_using_a_polypropylene_sling_for_stress_urinary_incontinence_in_women_ L2 - http://www.tandfonline.com/doi/full/10.1080/00365590600918121 DB - PRIME DP - Unbound Medicine ER -